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Reimbursement
Physicians 'outraged' that spending bill fails to avert pay cut
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Modernizing healthcare payment systems starts with reducing cash collections
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Advocate Health closing Illinois clinics inside of Walgreens
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HIMSS25: ROI as the ultimate measure of value
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Hospitals face rising costs as tariff uncertainty continues
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$880B in spending cuts not possible without slashing Medicaid
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Health system operating margins declined in August
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Senate report slams private equity's ownership of hospitals
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Revenue cycle challenged by low collection rates, high denials
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Sen. Grassley wants UnitedHealth to hand over MA billing records
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Cedars-Sinai cancer director stepping down
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Chief growth officer on the competitiveness of home health market
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Logistics robots bringing Samsung Medical into the future
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Hospitals, physicians submit opposing views to FTC ruling
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Prisma Health opens $3.7 million behavioral health facility
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Hospitals face deadline to opt out of BCBS settlement agreement
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CMS proposes shortening ACA open enrollment window
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Mobile Healthcare does house calls
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HIMSS25 session shows how physicians are incentivized in APMs
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SDOH, tech key to advancing value-based care
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Fewer clinicians entering primary care
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Kentucky making data on foster children interoperable
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Blue Cross NC reorganizing with parent company
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Practices keeping close watch on risk adjustment coding
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Financial disincentives for providers who commit information blocking
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Curbing Medicaid expansion could cause $80B hit to providers
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HHS, Illinois reach agreement on disability rights
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PBMs appeal FTC case over insulin costs
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Teladoc partnering with Eli Lilly on self-pay GLP-1 access
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UPMC for You offers Medicaid redetermination coverage in laundromats
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Philips partners for maternal remote patient monitoring in Georgia
Mergers & Acquisitions
Walgreens to be acquired by Sycamore Partners
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Payers must change dynamic with providers to survive in the post-Affordable Care Act world
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Top Stories
$880B in spending cuts not possible without slashing Medicaid
Walgreens to be acquired by Sycamore Partners
Health leaders need AI know-how to avoid cyberattacks
Sharp Healthcare
Feb 19 | Susan Morse
Walgreens' private equity sale talks on again
The deal has been upgraded to "alive."
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Jan 22 | Jeff Lagasse
DOJ sues Walgreens for dispensing alleged illegal prescriptions
The lawsuit says Walgreens sought reimbursement for the prescriptions from various federal healthcare programs.
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Jan 10 | Jeff Lagasse
Walgreens posts $265 million net loss in Q1
The company cited lower retail sales and higher costs, though pharmacy sales did increase slightly year-over-year.
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Dec 18, 2024 | Jeff Lagasse
Trends 2025: Medicare Advantage prospects strong despite challenges
Higher-than-expected utilization and low reimbursement have challenged the program in 2024.
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Nov 20, 2024 | Jeff Lagasse
UPMC, Vanderbilt join Aegis Ventures in digital consortium
UPMC Enterprises and Vanderbilt Health will accelerate the consortium's pipeline of companies launching in the coming year,…
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Oct 04, 2024 | Jeff Lagasse
UnitedHealthcare sues CMS over Medicare Advantage star ratings downgrade
Insurer is seeking an injunction, claiming the downgrade was based on an "arbitrary and capricious"…
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Oct 02, 2024 | Susan Morse
Humana is challenging lower Medicare Advantage star ratings for 2025
Humana blames higher industry cut points and one contract decreasing to a 3.5-star rating from a 4.5-star rating in 2024.
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Jul 12, 2024 | Susan Morse
What the Supreme Court's Chevron ruling means for healthcare
The decision could cripple the ability of HHS and CMS to address critical issues such as regulating rapidly evolving technology…
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Apr 24, 2024 | Nathan Eddy
Racial disparities put further strain on primary care
There is a sharp racial divide in premature deaths, says a new Commonwealth Fund State Health Disparities Report.
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Feb 21, 2024 | Jeff Lagasse
No Surprises Act implementation coincided with in-network claims growth
There was a relatively sharp increase in in-network percentages nationally and in all regions across all specialties.
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